Ihs Tucson Santa Rosa Clinic
LBN: Dhhs-Phs, Ihs Tucson Area
Ihs Tucson Santa Rosa Clinic is an health care organization with primary practice located at Federal Route 15 , Santa Rosa Village AZ 85634. The organization recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as the primary health care specialty.
Dhhs-Phs, Ihs Tucson Area can be contacted via phone (520) 361-2261, or through Priessman, Kurt via phone (520) 295-2427.
Contact Information
Primary practice address
Federal Route 15
Santa Rosa Village AZ 85634
Phone: (520) 361-2261
Fax: (520) 383-5572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X |
Profile Details
| NPI number | 1851359293 |
|---|---|
| LBN Legal business name | Dhhs-Phs, Ihs Tucson Area |
| DBA Doing business as | Ihs Tucson Santa Rosa Clinic |
| Authorized official | Priessman, Kurt B.A., M.B.A., C.P.M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Oct 17th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851359293 | NPPES |
| Arizona | Other | 0327177 | NACADP # |
| Arizona | MEDICAID | 706921-01 | NACADP # |
| Arizona | MEDICAID | 907008-01 | NACADP # |
| Arizona | MEDICAID | 147141-03 | NACADP # |
| Arizona | Other | AZ0490080 | NACADP # |
| Arizona | Other | 1770581639 | NACADP # |
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